Form Spt 502 - Non-Resident Distributor/wholesaler Tobacco Products Monthly Tax Return

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South Dakota
Non-Resident Distributor/Wholesaler
Tobacco Products Monthly Tax Return
This return is due on or before the l5th day of the month following the month during which the tobacco products were
imported or shipped into South Dakota.
Individual or Corporate Name, Mailing Address,
Month of:
Year:
City, State, & Zip:
FEIN/SS No.:
Tobacco Distributor/Wholesaler
License No.:
Contact:
Phone No.:
A Wholesale purchase price of tobacco products shipped to South Dakota recipients . . . . $ __________________
B. Deductions (returns to manufacturer) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ __________________
C. Taxable value of tobacco products (line A minus line B) . . . . . . . . . . . . . . . . . . . . . . . . $ __________________
D. Tax @ 10% (amount of line C times .10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ __________________
E. Interest for late payment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ __________________
F. Penalty for late filing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ __________________
G. PLEASE PAY THIS AMOUNT (the total of Lines D + E + F) . . . . . . . . . . . . . . . . . $ __________________
Invoice Date
Invoice
South Dakota Recipient
Mfg. Gross List Price of
Number
Tobacco Products
(cont. on side 2)
Total Wholesale Price of Tobacco Products
Please remit this form and payment to:
South Dakota Department of Revenue
Special Tax Division
445 E Capitol Ave
Pierre SD 57501-3100
(605) 773-3311, FAX (605) 773-6729
SPT 502-08/01

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